Publications by authors named "Melanie Morriss Tkach"

Article Synopsis
  • Autistic children often face challenges in participation and skill development compared to nonautistic peers, and the impact of occupation-based coaching (OBC) on their participation is unclear.
  • A study involving 13 autistic children and 12 caregivers tested the feasibility and effects of telehealth OBC, showing high rates of recruitment, retention, and caregiver engagement, exceeding expected benchmarks.
  • Results indicated significant improvements in child performance and satisfaction, with moderate effects on sleep disturbances and smaller impacts on participation and family quality of life, highlighting the need for further large-scale research to refine the intervention.
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Background: Caregivers and children continue to use pediatric rehabilitation telehealth services (PRTS) post-pandemic. Understanding how caregivers support children during PRTS can help us fully integrate caregivers for positive outcomes. This scoping review describes the roles caregivers take on during PRTS.

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Pediatric occupational therapy practitioners use telehealth to facilitate performance and participation in natural contexts. Optimal therapy outcomes occur when caregivers are integrated into telehealth sessions. This scoping review describes how caregiver outcomes are measured in the pediatric rehabilitation telehealth literature.

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Introduction: This study examined the influence of training in an occupation-centred model on the practice of occupational therapists working in a cancer hospital. There is an increased need for occupation-based rehabilitation services for individuals with and surviving cancer. Incorporating an occupation-centred model into practice has unique challenges for occupational therapists working in oncology settings.

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